IBKNY ---- ‪917-889-5896
			ADOPTION / FOSTER APPLICATION

APPLICANT CONTACT INFORMATION
Date ____________________________________________________________
Name___________________________________________________________
Address City, State, Zip Code ________________________________________ Home phone______________________________________________________ Email____________________________________________________________
HOME
Age_____________________________________
Deck? Backyard? Will the cat have outside access?
Do you live in an apartment? Or a House?_______________________________ Do you own, rent, or sublet?__________________________________________ Have you confirmed that pets are permitted in your building?________________ 
Does your home have a: Terrace? Balcony?_____________________________ Is your terrace, balcony, deck or yard screened in?________________________ Do your windows have screens on them?_______________________________ Do others live with you? If yes, who? (relationship, age)____________________
How long have you lived there?_______________________________________ If you lease, when is the lease up?_____________________________________
Do all household members want to adopt a cat?__________________________
Is anyone allergic to cats?___________________________________________

WORK
 Employer?______________________________________________________ Occupation How long have you worked there?__________________________ 
If adopting, do you have financial resources available for veterinary expenses?
_______________________________________________________________
 What is your work schedule?________________________________________

ADOPTION & CARE OF ANIMAL
Are you adopting for your home?
Or for someone else?_______________ 
Have you had pets in the past?_______________________________________
Where is the pet(s) now? relinquished, where and how?____________________ If your pet(s) died, please describe age/circumstances:_____________________
Do you have other pets now?_________________________________________ 
(Give species, age, breed, sex)_______________________________________
For your workplace?________________________________________________
Other? If the pet was________________________________________________
How much time do you/ or did you spend with your animal on a daily basis?____ Are they neutered? ________________________________________________
Vaccinated FELV/FIV tested (cats)

Declawed (cats)__________________ 
Which veterinary clinic will you use (if you know)?
______________________________________________________________________________
What kind of food do you prefer (dry, wet, brand), (if you know)? _____________
How often do you feed? Please explain:_________________________________
Is there a particular type of cat you wish to adopt?_________________________ 
(Age range, sex, coloring, length of hair, breed, etc)? ______________________
How often do you travel?____________________________________________
What arrangements will you make for the care of your cat while you’re away on vacation or business?
______________________________________________ 
What arrangements will you make for the care of your cat in case of an emergency?
______________________________________________________
Cats frequently live 15 – 20 years. Do you believe you’ll be able to keep your cat for its full life span?
 If not, what provisions will be made for the cat’s future?
________________________________________________________________

REFERENCES
Please supply references below (We may call all of them).
	1.	(Job)Name_____________________________________________________
Address__________________________________________________________
City, State, Zip Code________________________________________________ 
Phone___________________________________________________________
	1.	(Landlord/Neighbor) Name________________________________________
Address__________________________________________________________
City, State, Zip Code________________________________________________ 
Phone___________________________________________________________
	1.	(Friend/Relative) Name____________________________________________
Address__________________________________________________________ 
City, State, Zip Code_______________________________________________
Phone___________________________________________________________
	1.	(Vet) Name_____________________________________________________
Address__________________________________________________________
City, State, Zip Code________________________________________________
Phone___________________________________________________________

I AUTHORIZE IBKNY TO CONTACT THE REFERENCES I’VE LISTED ABOVE Signature
._____________________________________________________